ストレインバースサイン: 診断の役割と,コンストリクト性心膜炎における心臓磁気共鳴検査の結果との相関
Fabio Fazzari1, Francesco Cannata1, Luigi Tassetti1
1Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy.
まとめ
ストレンス・リバース (SR) はエコーカルディオグラフィのパターンで,収縮性心周炎 (CP) で非常に一般的です. 既存の基準に追加すると,心臓の磁気共鳴画像で見られる心臓の厚みと炎症と相関する.
科学分野:
- 心臓病科
- 医療用イメージング
- 診断方法
背景:
- 収縮性心膜炎 (CP) は心臓病の重要な原因です.
- 心臓発作を診断するための重要なイメージング手法です.
- 特定のエコーカルディオグラフィのパターンであるストレンス・リバース (SR) がCPで観察されています.
研究 の 目的:
- 様々な心臓疾患におけるSRの流行を決定する.
- CPを特定するためのSRの診断的有用性を評価する.
- 心臓磁気共鳴画像 (CMR) の結果と相関する.
主な方法:
- 循環器疾患を患った85人の患者の遡及分析
- 縦断ストレスの分析によるエコーカルディオグラフィーが行われました.
- 心臓の磁気共振 (CMR) 画像を用いて心臓の関わりを評価した.
主要な成果:
- 非結束性心膜炎 (25%) よりも,CPでSRの有意な有病率は高かった.
- マヨ・クリニックのCP診断基準の診断精度が向上した (C統計は0. 82から0. 92に増加した).
- SRは心臓の厚みとCMRの遅いガドリニウム強化と相関しています.
結論:
- SRは収縮性 perikarditisの貴重なエコーカルディオグラフィックマーカーです.
- SRはCPの伝統的な診断基準の性能を向上させます.
- エコーカルディオグラフィーのSRの発見は,心周の構造的変化と関連しています.
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